Organization
IMMEDIATE MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS ACOSTA (PRESIDENT)
(310) 360-6780
Entity
Organization
Contact information
Practice address
434 S SAN VICENTE BLVD, LOS ANGELES, CA 90048-4108
(310) 360-6780
Mailing address
434 S SAN VICENTE BLVD, LOS ANGELES, CA 90048-4108
(310) 360-6780
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
A25772
CA
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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